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Individual

DR. SUKETU MOHAN MANSURIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 HALKET ST, SUITE 0610, PITTSBURGH, PA 15213-3108
(412) 641-1600
Mailing address
300 HALKET ST, SUITE 0610, PITTSBURGH, PA 15213-3108
(412) 641-1600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD074319L
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD074319L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001950561
PA
Enumeration date
02/15/2006
Last updated
11/30/2009
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